ELISA JENSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086404

License Status

ACTIVE

Business

Title

First Name

ELISA

Last Name

JENSEN

Business Name

ELISA JENSEN MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

SPRINGFIELD

State

Zip

62794

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/08/2025